Individual
BRIAN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2770 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-8614
(616) 267-8860
(616) 267-8442
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002161
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002161
MI
213ES0131X
Foot Surgery Podiatrist
5901002161
MI
Other
Enumeration date
06/14/2006
Last updated
11/05/2024
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